Individual
DR. RANDALL ROGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
1 S PROSPECT ST, 1415, BURLINGTON, VT 05401-3456
(802) 656-8714
(802) 656-5793
Mailing address
61 E ALLEN APT. D, WINOOSKI, VT 05404
(615) 202-9993
(802) 656-5793
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
02/26/2008
Last updated
02/26/2008
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